36905

CPT/HCPCS

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube

Physician Fee Schedule

Facility

Medicare Payment

$1,413.81

Submitted Charge$6,378.21
Medicare Allowed$1,778.11
Providers3,252
Beneficiaries9,128
Total Services16,718
Office

Medicare Payment

$1,906.80

Submitted Charge$6,308.00
Medicare Allowed$2,397.47
Providers776
Beneficiaries4,613
Total Services6,753